摘要
目的 探讨食管动力学、2 4小时食管 p H及 2 4小时动态心电图监测对反复发作性胸痛的诊断价值。方法 对 4 6例反复发作胸痛的患者进行食管动力学检测、2 4小时食管 p H及 2 4小时动态心电图监测 ,根据检查结果 ,给予相应治疗 ,并观察近期效果。 结果 4 6例患者中发现非特异性食管功能障碍 2 4例 ,其中伴有胃食管反流 14例、心肌缺血 4例 ;贲门失弛缓症 5例 ,其中伴有胃食管反流 1例 ;弥漫性食管痉挛 4例 ,其中伴有胃食管反流 4例、心肌缺血 2例 ;胡桃夹食管 (nutcracker esophagus) 1例。 结论 对反复发作性胸痛患者联合食管测压、2 4小时食管 p H和 2 4小时动态心电图监测有助于食管源性及心源性胸痛的诊断 ,而且对其鉴别诊断亦有帮助。
Objective To explore the significance of esophagea l motility testing, 24-hour esophageal pH monitoring and Holter monitoring electrocardiogram in t h e diagnosis of chest pain. Methods Forty-six patients with re peated chest pain admitted in our department were examined with esophageal mot ility testing, 24-hour esophageal pH monitoring and Holter monitoring electroca rdiogram. The patients were treated according to the results and then re-examin e d. Results Twenty-four cases with nonspe cific esophageal motility disorders (14 cases with gastroesophageal reflux and 4 cases with my ocardial ischemia), 5 cases with achalasia of cardia (1 case with gastroesoph ageal reflux), 4 cases with diffuse spasm of esophagus(4 cases with gastroesop hageal reflux and 2 cases with myocardial ischemia), and 1 case with nutcracker esophagus were found. Conclusion Esophageal motility testing, 24-hour esophageal pH monitoring and Holter monitoring electrocardiogram are im portant and helpful in the diagnosis and differential diagnosis of chest pain.
出处
《中国胸心血管外科临床杂志》
CAS
2004年第4期262-264,共3页
Chinese Journal of Clinical Thoracic and Cardiovascular Surgery
